Midwest Central Meal Distribution Survey

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Midwest Central Schools are planning a food distribution plan during the closure. It is important that we can provide scheduled breakfast and lunch meals to our students. We plan to deliver food to bus stops on specific dates, while also allowing for pickup at local schools. Please complete this survey for EACH student OR type two names in the NAME box when prompted.

I am completing this survey for a student in the following building: *

Primary School

Middle School

High School

What is the student's name? (LAST NAME, then FIRST NAME) **type MULTIPLE NAMES if completing this survey for more than one student. *

Would you like to have breakfast and lunch meals prepared for this/these student(s) during the closure period? *

Yes, I would like meals prepared during the school closure

No, I do not need any food prepared during the school closure.

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